188bet体育网址 感謝來自中國電子工程設計院有限公司 健康與養老研究所的公共空間項目案例分享：
The project – SDIC Health & CEEDI Multi-sensory Activity Room is located in SDIC Health Senior Apartment in Beijing. It aims to provide sensory stimulation and cognitive training for the elderly living in and surrounding communities, mainly focused on MCI and mild dementia patient. Based on meeting the general elderly-oriented requirements, the design is chasing for higher requirements, including moderate stimulation of multi-sensory, spatial recognition, spatial fit with the elderly’s memories, providing opportunities for self-reliance, and convenience of operation for the elderly. Furthermore, this project is combined with non-drug intervention therapy proved to be effective.
The purpose of the environment design is to activate long-term memory, attention and autonomy by creating the elderly’s familiar and interesting multi-sensory scenes, such as childhood scenes, hometown food, old objects, dialects, sounds of nature and music, and previous activities. Through the way of self-determination or leading by professional staff, the elderly are able to acquire positive sensory stimulation such as vision, hearing, smelling, touching and tasting, which contributes to exercise the elderly’s sensory perception, executive function, attention, hand-eye coordination, space-time orientation and activities of daily living. In addition to multi-sensory stimulation by materials and equipment operation in the immersion environment, the older people are also able to participate in group activities and games to establish the communication among multiple people.
After renovating this multi-sensory environment activity room, we conducted a randomized controlled trial of a multi-sensory environmental stimulation. In this trial, We made use of the sensory elements in the spatial environment to create a “five-sense immersion” environment for the elderly with dementia, and provide balanced visual, auditory, smell, touch and taste stimulation. Furthermore, we developed a series of intervention plans to verify the effect of this immersive multi-sensory environment space on dementia elderly combined with the concept of human-centered treatment and other non-medicine intervention, such as reminiscence, music and life training.
1.1 多感官環境設計Environment Description
The room is located on south side of the third floor of the SDIC Health Senior Apartment, with a width of 7.8m and a depth of 8.45m.The room was originally designed with white wall, light wood-grain PVC floor, mineral wool gypsum board ceiling, white flat light, unfixed furniture and equipment for the medical environment. The overall tone tends to the light color, and the color difference between the ground, walls and ceiling is very small, which is not conducive to the recognition and orientation of the spatial structure for older people with dementia. Therefore, part of the white walls are changed into dark green and orange. While improving the spatial experience, the main purpose is to make the elderly better distinguish areas and enhance their identification. Orange and yellow woven cushions are arranged on the top of the white lower floor cabinet beside the wall, in order to attract the elderly to sit down through bright colors, and to avoid confusion of the barrier between cabinet and wall. The room are divided into several parts including group activity area, immersive touch projection wall, 5-sense wall, LEGO wall, time corner, nature corner, music corner, and system control area.
∇ 改造前（拍攝：韓涵）Figure 1 Before renovation （Photoed by Han Han）
∇ 改造後（拍攝：韓涵）Figure 2 After renovation（Photoed by Han Han）
∇ 平麵圖 Figure 3 Plan
1.2小組活動區Group activity area
社會工作中根據組織活動內容以及參與對象的不同，小組適合規模也不盡相同，其中5 人小組比較適合討論，8人小組最容易完成任務，治療小組一般在 5～7 人12。考慮部分老人會需要家屬、照護人員或誌願者、社工陪同，空間布置12張70cm×70cm方桌，可根據活動內容和形式進行多種組合布置。為了讓老人有更明確的色彩辨識和親切溫暖的觸感，在白色桌椅的基礎上，每把椅子配置一個棉布條編織的彩色坐墊，且采用不同顏色，以便老人通過色彩增強對空間位置的記憶和識別，以更容易定位自己的位置和周邊老人。
In social works, the proper group size is different according to the activity programs and different participants. Generally, 5-person group is suitable for discussion, 8-person group is the easiest to complete task, and a treatment group is appropriate for 5 to 7 persons It is considered that some of the elderly will need to be accompanied with family, caregivers, volunteers or social workers, twelve 70x70cm square tables can be arranged differently based on the content and form of activities. In order to make the elderly have a clear color identification and warm touch, each chair is covered with a colored cushion woven with cotton strips. Different colors are adopted for the elderly to strengthen the memory and recognition of spatial position, so as to identify their own position and surrounding people more easily.
∇ 小組活動區（拍攝：韓涵）Figure 4 Group activity area（Photoed by Han Han）
1.3觸控互動牆麵Touch projection wall
In order to enhance the convince of the operation for the elderly, improve their interaction and initiative, a wall was renovated with touch projection function. It is used for the cognitive training for the elderly, as a part of immersion activities.
Based on the characteristics of dementia – cognitive impairment of time and space, and the retention of long-term memory, we also developed two interactive games (Chinese map game and the 24-solar-term game).
In Chinese map game, simulated natural scenes, such as mountains, rivers, lakes and plateaus were added, and the distinct living environment videos of several typical regions can be displayed, so that users can immerse themselves in the memorial scene. The architectural mode can display the typical landmarks and scenic spots in each province. After clicking the landmark, it will trigger the local environmental scene and play the local dialects, which immerse the elderly in visual and sound environment. The food mode shows the special food in different regions.
The 24-solar-term game mainly trains for the ability of time orientation. Once correctly matching the solar terms or typical festivals to the four seasons, it will trigger the playing of solar term songs, and also present the solar terms and four seasons scene videos.
∇ 觸控互動牆麵（拍攝：韓涵）Figure 5 Touch projection wall（Photoed by Han Han）
∇ 沉浸懷舊場景（拍攝：韓涵）Figure 6 Memorial scene（Photoed by Han Han）
1.4互動韻律燈光Interactive rhythmic lighting
Relevant experimental studies show that both stimulation of music and lighting create interactive effects on emotion. Therefore, flat lamps with adjustable light color and brightness are set on the ceiling of the activity area, which can be controlled by the intelligent terminal and changed according to the rhythm and tone of music and videos. This helps the elderly improve their attention stability, so that they can better experience the scene.
∇ 互動韻律燈光（攝影：韓涵）Figure 7 Interactive rhythm light（Photoed by Han Han）
1.5氣味播放器Intelligent smell player
A Kind of Olfactory training equipment – intelligent smell player – is also applied in the room. It is a kind of equipment that can release specific smell hanging around neck. It can be centrally controlled playing, duration and smell type. Due to the aspects of short duration, low dose and close to nose, it is easy to switch the smell according to the scene rapidly. Based on the scenes of the intervention activities, dozens of smell boxes were customized to enhance the feeling of immersing in the environment, stimulating or inducing the olfactory nerve reconstruction, to improve olfactory function, which breakthrough the traditional technology of olfactory experience to some degree.
∇ 與場景相結合的氣味播放（攝影：韓涵）Figure 8 Using the intelligent smell player with the visual stimulation（Photoed by Han Han）
By using the flexible display form of perforate back shelf, combined with the exhibition of the items, including reminiscent toys, cognitive training toys, familiar plants, activity materials, etc., a variety of theme scenarios are designed to stimulate the initiative of the elderly’s exploration behavior. For instance, the elderly could be asked to arrange the materials according to the color; they still could be attracted by some bread models with real smell and touch feeling in the old biscuit box with a tip card says “open and smell”; some specific species would be placed in small bags with a tip card says “smell and guess”, and the elderly could exercise their ability to recognize and think in the process of smelling, guessing, opening and deciphering. The decoration on the wall shelf can also be changed according to the activity theme. For example, in the supermarket theme activities, it is formed by the arrangement of products, price tags and classification marks; in the reminiscent theme activities, it is formed by the exhibition of old objects, old photos, old newspapers, awards and other items; in the music theme activities, it is formed by placing instruments, lyrics, music scores, and singers’ photos.
∇ 五感牆（攝影：韓涵）Figure 9 Five-sense wall（Photoed by Han Han）
∇ 懷舊餅幹盒（攝影：韓涵）Figure 10 Interaction with the old biscuit box（Photoed by Han Han）
∇ 氣味角——氣味荷包（攝影：韓涵）Figure 11 Smelling corner – species bags（Photoed by Han Han）
∇ 懷舊物件（攝影：韓涵）Figure 12 Traditional Chinese toys and objects（Photoed by Han Han）
With the characteristics of pixel and free combination of LEGO building blocks, the color recognition ability, executive function and overall composition ability can be practiced through the process of forming the pattern according to their or others design. Before each activity, the elderly will be invited to create a pattern related to the theme of the activity with the caregivers. The elderly can choose the task that they are interested in. It also provides an opportunity to create a leisure time of communication with children.
∇ 樂高牆（攝影：韓涵）Figure 13 LEGO Wall（Photoed by Han Han）
There are plants, parrot toys, bamboo wind bells, artificial lawn and stone in Nature corner, for creating a fresh natural space where the elderly can enjoy time. It also set up a scene that activates the old people’s inner thinking and recalls the past memory with communication methods that the elderly are familiar with – writing letters. Mailbox, stationery, stamps and envelopes. The elderly can write whatever they think into letters and put them into the mailbox. There is also a music corner. Because of using colors to distinguish pitches of the music bells, the elderly who cannot read music are able to play the instrument by color recognition. The elderly can exercise through the coordination of eyes, fingers, ears and brain thinking.
∇ 自然角（攝影：韓涵）Figure 14 Nature corner（Photoed by Han Han）
∇ 色彩音階按鍾（攝影：韓涵）Figure 15 Using colors to distinguish pitches of the bells（Photoed by Han Han）
∇ 信件空間（攝影：韓涵）Figure 16 The mailbox and letter paper（Photoed by Han Han）
Most the elderly with dementia are suffering from temporal disorientation, including the inability to recognize era, season and time. Therefore, the time corner is designed to remind the elderly of time, and enhance their temporal orientation. A clock with obvious large-scale numbers on the panel, a calendar, and 24-solar-term cards combined with natural features are decorated on a dark green wall.
∇ 時間角（攝影：韓涵）Figure 17 Time Corner（Photoed by Han Han）
The purpose of emotion corner is to lead the elderly to share their feelings and to establish emotional connection between people and space. The activity photos are illustrated in this area, and the elderly will be invited to sit down and leave a message.
∇ 情感角（攝影：韓涵）Figure 18 Emotion corner（Photoed by Han Han）
2.隨機對照試驗Randomized Controlled Trial
In this study, dementia patients aged 55~95 years (MMSE score 10~26) were selected from the elderly people living in the apartment and surrounding communities who did activities during the daytime as the research subjects and divided into a intervention group(n=27) and a control group(n=30). The intervention group received multi-sensory environment intervention with 7 different themes, including “Reminiscence Melodies”, “Impression of Beijing”, “Sensory Garden”, “Go Supermarket Shopping”, “A Taste of Memory”, “Golden Hometown” and “Life in Cinema”. The experiment was conducted once a week for 1 hour each time and 7 times in total.
The patients would be evaluated before and after the intervention. The assessment content includes general information, MMSE, Auditory Word learning test, Number Cancellation test, Stroop Color Word test, Verbal Fluency test, Activities of Daily Living scale (ADL), Neuropsychiatric Inventory (NPI-Q), Patient Health Questionnaire (PHQ-9), and Generalized Anxiety Screening Scale (GAD-7).
結果顯示，MMSE量表（F=11.754, p =0.001）和詞語流暢性（F=4.717，p =0.034）的得分有顯著性差異。也就是說，多感官環境刺激幹預對失智老人的認知功能和語言表達能力有短期的積極效果。
All data were analyzed by SPSS. Independent sample T-test was used for general information. The scores of each scale before and after intervention were measured by ANOVA for Repeated Measurement.
The results indicated that MMSE scale (F=11.754, P =0.001) and Verbal Fluency test-Animal (F=4.717, P =0.034) had significant differences. In other words, multi-sensory environmental intervention has a short-term positive effect on cognitive function and language expression in the elderly with dementia.
SDIC Health & CEEDI multi-sensory activity room provides cognitive training for the elderly living in SDIC Apartment and surrounding communities. The process of design excavates the characteristics of the elderly’s life background and their hobbies. Through the immersive scenes and diversity of programs, combined with the principles of multi-sensory stimulation and demand of intervention activities, it creates a better sensory stimulation environment for the elderly, in order to enhance the feeling of immersion， autonomy and curiosity.
SDIC healthy elderly apartment provides important research support such as space and personnel recruitment for the project.
CHJCARE Lezhi were commisioned to recruit elderly, conduct the intervention activities and capacity the elderly’s assessment.
主創及設計團隊：韓涵 陳文 江瑩 胡旭婧 李鵬 魯衛華 崔震等
Project name:SDIC Health & CEEDI Multi-sensory Environment Activity Room
Design:China Electronics Engineering Design Institute CO., LTD.（CEEDI） Research Institute of Health and Aging
Contact e-mail:[email protected]
Design year & Completion Year:2019
Leader designer & Team:Han Han Chen Wen Jiang Ying Hu Xujing Li Peng LuWeihua CuiZhen etc.
Gross Built Area (square meters):68㎡